Evidence map›Paper›PMID 35839056›Full record

ArticleMedicine2022

Cross-sectional comparison of age- and gender-related comorbidities in people living with HIV in Canada.

Jason M Brunetta, Jean-Guy Baril, Joseph J de Wet, Chris Fraser, Gary Rubin, Réjean Thomas, Hugues Loemba, Ken Logue, Michael Silverman, Jean Palmart and 5 more

Abstract read
In one paragraph

Article in Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Role of the pharmacist caring for people at risk of or living with HIV in Canada.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jason M BrunettaMaple Leaf Medical Clinic, Toronto, Ontario, Canada.
Jean-Guy BarilClinique Médecine Urbaine de Quartier Latin, Montreal, Quebec, Canada.
Joseph J de WetSpectrum Health, Vancouver, British Columbia, Canada.
Chris FraserCool Aid Community Health Centre, Victoria, British Columbia, Canada.
Gary RubinChurch Wellesley Health Centre, Toronto, Ontario, Canada.
Réjean ThomasClinique médicale l'Actuel, Montreal, Quebec, Canada.
Hugues LoembaUniversity of Ottawa Health Services, Ottawa, Ontario, Canada.
Ken LogueSt. Clair Medical Associates, Toronto, Ontario, Canada.
Michael SilvermanSt. Joseph's Hospital, London, Ontario, Canada.
Jean PalmartAdvisory Physicians Research Services Inc., Victoria, British Columbia, Canada.
Haiyan Jiangimc North America, Toronto, Ontario, Canada.
René-Pierre LorgeouxGilead Sciences Canada, Inc., Mississauga, Ontario, Canada.
Harout TossonianGilead Sciences Canada, Inc., Mississauga, Ontario, Canada.
Connie J KimGilead Sciences, Inc., Foster City, California, USA.ORCID 0000-0003-0730-0551
Alexander WongDepartment of Medicine, University of Saskatchewan, Regina, Saskatchewan, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because antiretroviral therapy (ART) is allowing people living with human immunodeficiency virus (PLWH) to survive longer, they are developing more age-related comorbidities. We evaluated the effects of age and gender on the burden of age-related comorbidities among PLWH. In this retrospective real-world study, de-identified data were extracted from the medical charts of 2000 HIV-positive adults on ART across 10 sites in Canada. The prevalence of age-related comorbidities was determined in 6 age subgroups (<30, 30-39, 40-49, 50-59, 60-69, and ≥70 years). The effects of gender on these comorbidities were also examined. Risks of cardiovascular disease and chronic kidney disease (CKD) were calculated using the Framingham and D:A:D equations. Most persons were White (68%), male (87%), and virologically suppressed (94%). The mean age was 50.3 years (57% aged ≥50 years), and mean CD4+ T-cell count was 616 cells/mm3. The most common comorbidities were neuropsychiatric symptoms (61%), overweight/obesity (43%), liver disease (37%), and dyslipidemia (37%). The mean number of comorbidities increased across age subgroups (P < .001). Across all age subgroups, the prevalence of hypertension (P = .04), dyslipidemia (P = .04), CKD (P = .03), bone fragility (P = .03), and depression (P = .02) differed between males and females. Both age (P < .001) and gender (P < .001) impacted cardiovascular disease and CKD risk. Age and gender influenced the burden, types, and risks of age-related comorbidities in PLWH in this Canadian cohort. These comorbidities should be diagnosed and treated in routine clinical practice.

Indexed as

Cardiovascular DiseasesHIV InfectionsRenal Insufficiency, ChronicAdultCanadaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRetrospective Studies

Identifiers

PMID35839056
PMCPMC11132354

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.